Ambulatory Licensed Practical Nurse (Neurology/PM R/PT-OT Clinic)

WASHINGTON, District of Columbia
Nov 25, 2021
Dec 25, 2021
Full Time
 The LPN II will be responsible to provide care under the direct supervision of a Registered Professional Nurse. Qualifications Minimum Education
High School Diploma or GED HS Diploma, GED or equivalent in addition to completion of a 1-year (minimum length) vocational/technical training program in a related field. (Required)

Minimum Work Experience
1 year Related experience (Required)

Required Skills/Knowledge
Ability to perform technical functions interacts with children and families and has good verbal and written communication skills.
Demonstrates competence in assisting with procedures.
Must pass Division of Nursing & Patient Services LPN Medication Administration test.

Required Licenses and Certifications
Licensed Practical Nurse (Required)

Functional Accountabilities
Clinical Process
  • Differentiate a new problem from a long term problem at the time of admission/clinic visit; conduct a patient history in order to elicit information and establish child's normal baseline routine; respond to inquiries from families by answering questions; explain information clearly and thoroughly .
  • Accurately take TPR, BP , height & weight, head circumference, and intake and output measurements according to procedure
  • Recognize physical and behavioral changes for groups of patients usually cared for in the assigned area; perform basic nursing care which may include bath, personal hygiene, dressing, linen change, positioning, assisting in the use of bedpan, urinal, diaper change, and ambulation or holding; perform therapeutic interventions including tube care, gastrostomy, chest tubes, urinary catheters, IV starts (IV solution without additives)/veni puncture, trach care per protocol, and skin care (wound, ostomy) and all associated procedures (i.e. chest physiotherapy , oral/nasal/pharyngeal auctioning, central line dressing change, PD catheter exit site care); exception: Naso-tracheal/Endotracheal auctioning, insertion of oral/nasal airway .
  • Immediately respond to and assess the child whose feeding MV pump or monitor is alarming to determine cause of alarm; troubleshoot the alarm system and follow through on directives; inform Registered Nurse as needed; recognize basic changes in child such as: apnea, wheezing, retractions, changes in behavior or LOC, seizure activity, skin lesions, and poor tissue perfusion.
  • Collect and test specimens, pass NG tubes and catheters according to procedure and unit policy.
  • Prepare for the set up of monitors and D.C.'s peripheral IV's after directed by a Registered Nurse.
Unit Functions
  • Complete a patient assignment and/or assigned task related to Admission, Discharges & Transfers for an assigned unit; accept patient assignments and participate with the primary nurse to implement and document care;
  • Organize workload in collaboration with a coassigned registered nurse that must administer a medication or perform an assessment/care procedure. Contribute to the plan of care for the patient/family in collaboration with the health care team.
  • Recognize and remain with any child in distress, immediately institute Basic Life Support procedure when necessary.
  • Follow physician's orders and nursing directives precisely; carry out STA T orders immediately within the parameters of the LPN Job Description.
  • Follow protocols for Code Blue, Fire and Disaster plans.
Patient Services
  • Orient children and families to the geography and regulations of the area and expected routines for the child; prepare all assigned children for examination, procedure, or surgery according to the standards and incorporate principles of growth and development.
  • Review the medical record (progress notes and care plans) and reinforce teaching that has been outlined by the Registered Nurse.
  • Teach families how to administer routine PRN & PO medications at home including effects, side effects, and dosage according to preprinted sheets or guidelines outlined by the primary nurse.
  • Implement aspects of the education plan throughout hospitalization/clinic visit under the direction of the Registered Nurse or physician as appropriate; provide feedback to RN regarding patient/family's to teaching.
  • Regularly consult with other nurses and refer to resources on the unit and in the library to gain procedures.
Clinical Support
  • Refer to physicians and registered nurses as indicated.
  • Comfort a child using redirection such as touch, talking, etc.
  • Offer extra attention to a child who is alone by sitting with him/her , talking, or playing.
  • Attend unit/hospital in-service education programs.
  • Develop annual goals and a personal education program with the Supervisor to increase understanding of disease, treatments, etc.
  • Assist a float or an orientee if he/she appears uncomfortable with a procedure within the scope of the LPN job description.
  • Immediately and accurately document observations, interventions, teaching and the child/family response on the correct form according to established policy and procedure.
  • Participate in the admission/clinic unit data collection and document on appropriate forms.
  • Document medication administration including time, route, signature, and patient responses, as appropriate, on the correct form.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
  • Anticipate and responds to customer needs; follows up until needs are met

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving
  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility
  • Use resources efficiently
  • Search for less costly ways of doing things

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance